Elton K Wong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35127 Issued in CA

Practice address

1750 Story Rd
San Jose, CA 95122-1921

Phone

(408) 678-0340

NPI assigned

Jul 8, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elton K. Wong Optometric Corporation

  • Optometrist
  • San Jose, CA
  • NPI 1073337226
  Medicare reassignment NPD Authorized official
• Loran Bruce Mebine

  • Optometrist
  • San Francisco, CA
  • NPI 1275694531
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1811620693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940300078",
            "telephone_number": "408-678-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221921",
            "telephone_number": "408-678-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5821 Antelope Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958423902",
            "country_code": "US",
            "telephone_number": "279-221-7991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3661 Truxel Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958343617",
            "country_code": "US",
            "telephone_number": "279-233-2991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Riverpoint Ct",
            "address_purpose": "LOCATION",
            "city": "West Sacramento",
            "state": "CA",
            "postal_code": "956051654",
            "country_code": "US",
            "telephone_number": "279-233-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ELTON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Wong
• David Wong, M.D.
• Diana Wing-Yi Wong, AGACNP-BC, CCRN, CSC
• Edwin C Wong, PHARM.D.
• Elizabeth Wong, MSOT, OTR/L
• Emily Kyin Wong, M.D.
• Fook Y Wong, M.D.
• Francis Dominic Wong, D.O
• Geary Wong, RPH
• Grace Kinling Wong, O.D.

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.